The Glucose Revolution Pocket Guide To Diabetes
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\"Glucose Revolution\" is an excellent book for anyone interested in learning more about glucose's important role in the human body. The book begins with a brief overview of the role of glucose and the dangers of uncontrolled blood sugar. Inchauspé then discusses types of diabetes, symptoms, and the importance of diet and exercise in regulating blood sugar levels. The book also includes a variety of recipes and meal plans designed to help readers control their blood sugar.
The Atkins Diabetes Revolution book is an attempt by the authors to present the low carbohydrate diet as a preventive and treatment strategy for patients with type 2 diabetes and those with the metabolic syndrome, who are at high risk for developing diabetes and cardiovascular disease. In doing so, the book, which is very well written, and which clearly presents illustrative cases, explains very complex metabolic concept in a very easy to read and understandable format. The first nine chapters explain the different concepts involved in glucose and lipid metabolism and the interplay of the various cardiovascular risk factors that culminate in cardiovascular disease the number one killer of Americans today. Definitions of metabolic syndrome, pre-diabetes, body mass index, waist to hip ratio, central obesity and their relationship to diabetes, heart attacks and strokes, are eloquently presented with a great deal of accuracy yet in a simple format. Most impressive were the case presentations, especially that of reactive hypoglycemia and carbohydrate craving. This response is associated with hyperinsulinemia in the pre-diabetic phase and sometimes puzzles clinicians unless they know to look for it.
The concept of low carbohydrate diet and glycemic control certainly has a pathophysiological merit. First, dietary carbohydrates are the principal source for the initial rise of glucose in the diabetic populations, who generally have a defect in the first phase insulin secretion that is responsible for handling the glucose load [4]. There is mounting evidence that postprandial hyperglycemia is in itself a risk factor for cardiovascular disease in the diabetic patients [5]. This evidence comes from large, well-conducted, randomized controlled trials [5,6]. Furthermore, control of postprandial hyperglycemia has been shown to provide cardiovascular benefits, and contribute to the overall decrease of hemoglobin A1c, something that has been clearly shown to reduce microvascular disease in both type 1 and type 2 diabetes [7,8]. Second, the initial blood glucose rise associated with high carbohydrate load, in the presence of absolute/relative insulin deficiency leads to significant rise in triglycerides and free fatty acids which perpetuate the cycle of insulin resistance [9,10]. So, from a metabolic stand point, low carbohydrate diet makes physiologic sense. However, in the science and practice of medicine, not everything that makes sense turns out to work the way it is supposed to. In looking at the low carbohydrate diet, we must examine the evidence from the studies that were conducted using such diets keeping in mind that weight loss by itself, is beneficial in terms of improving insulin sensitivity and correcting the abnormalities associated with the metabolic syndrome and insulin resistance [9,10]. Also, weight loss has much greater effect on the prevention of type 2 diabetes in pre-diabetic patients than pharmacological interventions [9]. This fact was well illustrated in the Diabetes Prevention Program, a large multicenter trial sponsored by the National Institute of Health, where pre-diabetic patients on diet and exercise program had a 58% reduction in the development of diabetes, compared to only 34% reduction with the use of metformin [11]. This landmark study had a population where women and minorities were very well represented [11]. The fact that weight loss was associated with reduction of type 2 diabetes in high risk populations was illustrated in several other studies including examples from Finland and from China, making it evident that weight loss works for a variety of ethnic populations [12-15].
Jessie does a great job of showing that extreme glucose spikes are a problem that many people experience without knowing. While not clinically diagnosed with diabetes, many people are already aboard the blood sugar rollercoaster.
great and detailed review. Physiologically, it makes full sense. Underscored by your data and related effects in patients, you are to me the most scientific knowledgeable person on treating diabetes and the underlying mechanisms. keep up the good work.additional comment: while you here focus on the food part of changes in glucose levels, I am curious to know your thoughts on the stress part of glucose variability in patients.
It happens that Matthew contacted me originally back in January 1996, less than a week after he got his diabetes diagnosis. \"I want to thank you profusely for your on-line diabetic resource guide....Your listing expands the information I have access to exponentially. Everything about this list is fantastic. I'm incredibly appreciative and moved that someone has taken the time to put this out there.\"
Gestational Diabetes Mellitus (GDM) is glucose intolerance with onset during pregnancy. In true GDM, glucose usually returns to normal by six weeks postpartum, although women with GDM have an increased risk of developing type 2 diabetes mellitus later in life. The primary concern for any woman with this disorder is controlling the balance between insulin and blood glucose levels to prevent hyperglycemia or hypoglycemia. Women with gestational diabetes are at an increased risk of complications during pregnancy and delivery.
1. Perform a prenatal screening test to identify gestational diabetes mellitus.Suppose the woman does not have preexisting diabetes mellitus. In that case, a prenatal screening test is routinely performed between 24 and 28 weeks gestation, but it may be done earlier if risk factors are present. The woman drinks 50g of an oral glucose solution, and a blood sample is taken 1 hour later and analyzed for glucose. If the blood glucose level is 130 to 140 mg/dL or higher, a more complex, 3-hour glucose tolerance test is done.
4. Assess understanding of the effect of stress on diabetes. Teach the client about stress management and relaxation measures.Hormones released during stress conditions (stress hormones) are counter-regulatory in glucose metabolism because they can induce hyperglycemia. During stress situations, insulin sensitivity is generally reduced, mainly due to signaling defects downstream of the insulin receptor that reduce glucose transport in insulin-sensitive tissues such as the liver, muscle, and fats. In contrast, glucose production is higher due to increased hepatic gluconeogenesis. (Marcovecchio & Chiarelli, 2012).
8. Administer intravenous fluids and insulin additives or oral diabetic agents as prescribed.Correcting blood glucose is vital to both maternal and fetal well-being. Insulin therapy is needed by clients who cannot control their blood glucose levels with diet or oral therapy. Short-acting insulin may be used alone or with an intermediate type. The use of insulin pumps has also proved great value for glucose control in pregnant and nonpregnant clients with diabetes mellitus and reduces hypoglycemic events.
Glucose Revolution has a broad library of titles, including several pocket guides. These include specially targeted guides for diabetes, sports, losing weight and heart health, as well as one that includes the top 100 low G.I. foods. Other book titles include Glucose Revolution Shopper's Guide to GI Values. This is a 2007 printing of more than 500 foods' GI values, Low GI Diet Cookbook containing 100 more recipes and Glucose Revolution Low GI Vegetarian Cookbook offering 80 vegetarian and vegan recipes.
Too much glucose leads to inflammation in the body - oxidative stress caused by free radicals and glycation caused by glucose and fructose molecules damaging other molecules (\\u2018your body is browning, like a piece of toast\\u2019). Excess insulin is pumped out to clear the glucose away and over time, eventually results in insulin resistance, that has been deeply linked to most chronic diseases of our time - including type 2 diabetes, cancer, heart disease, hormonal issues such as acne and PCOS and even Alzheimer\\u2019s. It is incredibly important not just for diabetics but every one of us to keep our glucose steady.
Background/Objective: To determine the glycemic index (GI) of RNR15048 rice variety and study its effectiveness in reducing postprandial blood glucose levels and the regulation of lipid profile in patients with type 2 diabetes. Subjects/Methods: The GI of RNR15048 rice was measured in 54 healthy subjects in the age group of 30-50 years. The dietary intervention study was conducted in 80 subjects with diabetes in the age group of 40-60 years where 40 test subjects replaced their regular rice with RNR 15048 rice variety for 3 months. Anthropometric and biochemical parameters, HbA1c, fasting blood glucose, lipid profile, insulin were determined before and after the study. Results: The glycemic index (GI) of RNR 15048 rice variety was observed to be low with GI of 51.72 3.39. The dietary intervention study in type 2 diabetic subjects revealed significant decrease in fasting blood glucose (158.4 9.30 vs 140.2 8.87 mg/dL) and HbA1c levels (7.1 0.34 vs 6.1 0.33 %) with an increase in HDL levels (33.7 1.29 vs 37.1 1.83 mg/dL) while parameters such as body weight, blood pressure and insulin levels did not show any significant changes. Conclusion: Low GI rice is effective in the reduction of postprandial glucose response in type 2 diabetes and increase in plasma HDL levels and therefore useful in the management of type 2 diabetes and in the long term management of cardiovascular diseases. 1e1e36bf2d